DIANE GREGORY

O FALLON, MO
NPI1013391341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2014024930)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: IL  057.004125)
Enumeration Date2015-07-16
Last Update Date2015-07-19
Business Address
-- DIANE GREGORY COTA/L
2000 BOARDWALK PLACE DR
O FALLON, MO 63368-3900
Phone number: 618-292-2780
Mailing Address
-- DIANE GREGORY COTA/L
3985 MARIETTA DR
FLORISSANT, MO 63033-3214
Phone number: 314-852-4565